Admission: Transcript Request Form - UCLA Graduate Programs

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To Applicant: Please complete and send to your college or university registrar(s). ... Los Angeles, CA 90095- ______ (Zi
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Transcript Requests To Applicant: Please complete and send to your college or university registrar(s). Have the registrar send two one copies copy of your transcript and this request sheet to your proposed major department or you may request official copies and send them yourself to the academic department to which you are applying. To Registrar: Please send this sheet and two one copies copy of the applicant's official transcript to the address below or return it to the student. Thank you. UCLA Department/School of ____________________________________________________________________________________ Box ______________ (APPLICANT: Please fill in name and address of program to which you are applying) Address Information Los Angeles, CA 90095- ___________ (Zip + 4 must be completed - click address information) Term for which application is filed at UCLA ________________________ ____________ Term

Year

Proposed Major at UCLA: ___________________________________________________________ Name ____________________________________________________________________________________ Last,

First

Middle

Signature ___________________________________________________________

Date ____________

To Registrar:

one copies copy of the applicant's official transcript to the address below or return it to the student. Please send this sheet and two Thank you. UCLA Department/School of ____________________________________________________________________________________ Box ______________ (APPLICANT: Please fill in name and address of program to which you are applying) Los Angeles, CA 90095- ___________ (Zip + 4 must be completed - click address information) Term for which application is filed at UCLA ________________________ ____________ Term

Year

Proposed Major at UCLA: ___________________________________________________________ Name ____________________________________________________________________________________ Last,

First

Middle

Signature ___________________________________________________________

Date ____________

To Registrar:

one copies copy of the applicant's official transcript to the address below or return it to the student. Please send this sheet and two Thank you. UCLA Department/School of ____________________________________________________________________________________ Box ______________ (APPLICANT: Please fill in name and address of program to which you are applying) Los Angeles, CA 90095- ___________ (Zip + 4 must be completed - click address information) Term for which application is filed at UCLA ________________________ ____________ Term

Year

Proposed Major at UCLA: ___________________________________________________________ Name ____________________________________________________________________________________ Last,

First

Signature ___________________________________________________________

Middle

Date ____________